| NPI | 1518450121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 1555845) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 1021641) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2024-02-25 |